healthcosts.net
Biopsy vaginal mucosa xtnsv at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$452.40
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$696.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$1.10 with Zing Health vs $5,338.37 with MMO — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Summacare | Preferred | $88.63 | ↓ -80% |
| Summacare | Medicare Advantage Lower Level | $88.63 | ↓ -80% |
| United | Managed Medicaid | $92.84 | ↓ -79% |
| Caresource | Managed Medicaid | $95.63 | ↓ -79% |
| Buckeye | Managed Medicaid | $97.48 | ↓ -78% |
| Summacare | Medicare Advantage Psych | $97.83 | ↓ -78% |
| AmeriHealth | Managed Medicaid | $102.12 | ↓ -77% |
| Molina | Managed Medicaid | $102.12 | ↓ -77% |
| Summacare | Medicare Advantage CNA | $115.91 | ↓ -74% |
| Summacare | Medicare Advantage MD | $129.54 | ↓ -71% |
| United | Medicare Advantage | $130.44 | ↓ -71% |
| Cigna | Medicare Advantage | $130.44 | ↓ -71% |
| Anthem | Medicare Advantage | $130.44 | ↓ -71% |
| The Health Plan | Medicare Advantage | $130.44 | ↓ -71% |
| Aetna | Medicare Advantage | $130.44 | ↓ -71% |
| Humana | Medicare Advantage HMO | $130.44 | ↓ -71% |
| MMO | Medicare HMO & PPO | $134.35 | ↓ -70% |
| CommuniCare | Medicare Advantage | $136.96 | ↓ -70% |
| Summacare | Premier | $136.96 | ↓ -70% |
| Perennial Health | Medicare Advantage | $140.88 | ↓ -69% |
| The Health Plan | All Products PCP | $143.48 | ↓ -68% |
| The Health Plan | All Products Specialty Physicians | $150.01 | ↓ -67% |
| The Health Plan | All Products Radiation Oncology Physicians | $169.57 | ↓ -63% |
| Oscar | All Products | $176.85 | ↓ -61% |
| Aetna | Acop | $202.30 | ↓ -55% |
| Cigna | All Products Mid-Level | $218.28 | ↓ -52% |
| Anthem | All Products Mid-Level Non-Facility | $233.45 | ↓ -48% |
| Aultcare | PPO/HMO | $249.17 | ↓ -45% |
| Cigna | All Products Physician | $257.92 | ↓ -43% |
| OHCP | All Products | $270.74 | ↓ -40% |
| OMAS | All Products | $348.00 | ↓ -23% |
| United | All Products - Mid-Level | $388.27 | ↓ -14% |
| PHPHI | All Products | $417.60 | ↓ -8% |
| United | HMO & PPO | $431.41 | ↓ -5% |
| United | All Products | $431.41 | ↓ -5% |
| MMO | Traditional | $487.20 | ↑ +8% |
| GMS | All Products | $487.20 | ↑ +8% |
| Immergrun | All Products | $522.00 | ↑ +15% |
| Aetna | All Products First Health | $522.00 | ↑ +15% |
| Aetna | Asa | $556.80 | ↑ +23% |
| Multiplan | All Products | $626.40 | ↑ +38% |
| Aetna | Qhp/Ifp | $696.00 | ↑ +54% |
| UNITED | Managed Medicaid | $1,198.08 | ↑ +165% |
| CARESOURCE | Managed Medicaid | $1,234.02 | ↑ +173% |
| MOLINA | Managed Medicaid | $1,257.98 | ↑ +178% |
| ANTHEM | Managed Medicaid | $1,257.98 | ↑ +178% |
| AMERIHEALTH | Managed Medicaid | $1,317.89 | ↑ +191% |
| The Health Plan | MEDICARE ADVANTAGE | $2,644.04 | ↑ +484% |
| UNITED | MEDICARE ADVANTAGE | $2,937.82 | ↑ +549% |
| HUMANA | Medicare Advantage HMO | $2,937.82 | ↑ +549% |
| AETNA | MEDICARE ADVANTAGE | $3,062.57 | ↑ +577% |
| Summacare | MEDICARE ADVANTAGE | $3,062.57 | ↑ +577% |
| ANTHEM | MEDICARE ADVANTAGE | $3,062.57 | ↑ +577% |
| CIGNA | MEDICARE ADVANTAGE | $3,154.45 | ↑ +597% |
| Perennial Health | MEDICARE ADVANTAGE | $3,172.85 | ↑ +601% |
| CommuniCare | MEDICARE ADVANTAGE | $3,215.70 | ↑ +611% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,307.58 | ↑ +631% |
| MMO | ALL PRODUCTS | $4,731.18 | ↑ +946% |
| MMO | SuperMed | $5,338.37 | ↑ +1080% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy vaginal mucosa xtnsv at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| akron general | Akron | $452.40 | $1.10 – $3,172.85 |
| avon hospital | Avon | not published | $1,250.88 – $3,368.83 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,042.23 – $2,364.69 |
| euclid hospital | Euclid | not published | $1,281.56 – $3,368.83 |
| fairview hospital | Cleveland | not published | $1,203.95 – $3,368.83 |
| lutheran hospital | Cleveland | not published | $1,146.20 – $3,368.83 |
| hillcrest hospital | Mayfield Heights | not published | $1,254.33 – $3,368.83 |
| lodi hospital | Lodi | not published | $1,956.89 – $2,265.87 |